Provider Demographics
NPI:1669623542
Name:BOYD, LISA DAWN (DC)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:DAWN
Last Name:BOYD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:LISA
Other - Middle Name:DAWN
Other - Last Name:INGRUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7500 MEMORIAL PKWY
Mailing Address - Street 2:SUITE 114
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802
Mailing Address - Country:US
Mailing Address - Phone:256-650-0051
Mailing Address - Fax:256-650-0142
Practice Address - Street 1:7500 MEMORIAL PKWY
Practice Address - Street 2:SUITE 114
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802
Practice Address - Country:US
Practice Address - Phone:256-650-0051
Practice Address - Fax:256-650-0142
Is Sole Proprietor?:No
Enumeration Date:2008-10-09
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2253111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor